Provider Demographics
NPI:1063308799
Name:SANDUIJAV, BATZORIGT (BNS RN,)
Entity type:Individual
Prefix:
First Name:BATZORIGT
Middle Name:
Last Name:SANDUIJAV
Suffix:
Gender:M
Credentials:BNS RN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12253 FAIRFIELD HOUSE DR APT 408
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-3972
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12253 FAIRFIELD HOUSE DR APT 408
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-3972
Practice Address - Country:US
Practice Address - Phone:703-772-7702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001249599163WG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0100XNursing Service ProvidersRegistered NurseGastroenterology